Raymond Alan Roden M.D.

NPI 1053392985 - Internal Medicine - 207RC0000X

NPI Details
NPI 1053392985
Gender Male
Enumeration Date 11/08/2005
Last Updated 12/30/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
2900 BRADFORD ST NE
GRAND RAPIDS MI, 49525-6427, US
Phone (616) 885-5000
Fax (616) 885-5020
Business Location
100 MICHIGAN ST NE
MC 845
GRAND RAPIDS MI, 49503-2560, US
Phone
Fax
Toxanomy
Taxonomy Code 207RC0000X
License State Michigan
License Number 4301048562
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According to our database, Dr. Raymond Alan Roden M.D. NPI is 1053392985, taxonomy code is 207RC0000X and license number is 4301048562, license state is located at Michigan. Raymond Alan Roden M.D. physically located at 2900 Bradford St Ne, Grand Rapids MI, 49525-6427. NPI Number Raymond Alan Roden M.D. has the Individual type.

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1053392985 NPI number is provided on an as is basis without warranty of any kind. 1053392985 is maintained by the National Plan & Provider Enumeration System. The contents of Raymond Alan Roden M.D. are for informational purposes only.